Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $4,365.16	Professional		$2,290.87	$3,388.44	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,762.47 / $10,471.29	Facility		$4,897.79	$7,762.47	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,466.84	Professional		$3,981.07	$3,981.07	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $3,981.07	Facility		$2,344.23	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,466.84	Professional		$2,884.03	$2,884.03	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $3,715.35	Professional		$2,454.71	$2,630.27	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,365.16 / $7,585.78	Facility		$2,187.76	$4,365.16	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $4,168.69	Facility		$2,187.76	$3,981.07	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $4,073.80	Professional		$2,187.76	$2,630.27	$4,073.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $33,113.11 / $33,113.11	Facility		$33,113.11	$33,113.11	$33,113.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $35,481.34 / $35,481.34 / $41,686.94	Professional		$35,481.34	$35,481.34	$41,686.94